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effectivehealthcare.ahrq.gov/sites/default/files/related_files/registries-guide-2nd-edition_disposition-comments.pdf
March 03, 2010 - They may be mixing concepts of "applicability" (to what
population do the results apply) and freedom … www.effectivehealthcare.ahrq.gov
Published Online: March 3, 2010
Page 9, second paragraph: Authors may again be mixing concepts … These are clearly
very closely related concepts, as more complete ascertainment would be
helpful with … The authors reviewed the text and believe that these concepts are being
used appropriately here. … We added the following sentence to page 6 as an acknowledgment
of this point: "While some of the concepts
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics
May 18, 2022 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities.
Citation Text:
Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bia…
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psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-healthcare-systematic-literature-review
October 20, 2021 - Review
The impact of hospital accreditation on the quality of healthcare: a systematic literature review.
Citation Text:
Hussein M, Pavlova M, Ghalwash M, et al. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Serv Res. 2021;2…
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psnet.ahrq.gov/issue/bedside-computer-vision-moving-artificial-intelligence-driver-assistance-patient-safety
December 01, 2021 - Commentary
Emerging Classic
Bedside computer vision—moving artificial intelligence from driver assistance to patient safety.
Citation Text:
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver Assistance to P…
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Commentary
Creating a safer health care system: finding the constraint.
Citation Text:
Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented
August 30, 2023 - Study
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system.
Citation Text:
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised prov…
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psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
November 24, 2021 - Study
Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.
Citation Text:
Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense‐making model. Med Educ. 2023;57(5):430-439. doi:10.1111…
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psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals
July 03, 2016 - Study
Classic
Effect of nonpayment for preventable infections in U.S. hospitals.
Citation Text:
Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa120…
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psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety
October 06, 2021 - Study
Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident.
Citation Text:
Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety i…
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psnet.ahrq.gov/issue/teamgains-tool-structured-debriefings-simulation-based-team-trainings
October 08, 2016 - Study
TeamGAINS: a tool for structured debriefings for simulation-based team trainings.
Citation Text:
Kolbe M, Weiss M, Grote G, et al. TeamGAINS: a tool for structured debriefings for simulation-based team trainings. BMJ Qual Saf. 2013;22(7):541-53. doi:10.1136/bmjqs-2012-000917.
Co…
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psnet.ahrq.gov/issue/minor-flow-disruptions-traffic-related-factors-and-their-effect-major-flow-disruptions
August 19, 2020 - Study
Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room.
Citation Text:
Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating roo…
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psnet.ahrq.gov/issue/improvement-brief-detecting-and-assessing-suicide-ideation-during-covid-19-pandemic
October 13, 2021 - Study
Detecting and assessing suicide ideation during the COVID-19 pandemic.
Citation Text:
Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2…
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psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality
November 26, 2014 - Review
Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature.
Citation Text:
Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
May 01, 2017 - Module 3: PowerPoint Presentation
Management Practices for Sustainability
Module 3: Problem Solving
and Escalation
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for…
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psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns
November 02, 2022 - Study
Nurse sensemaking for responding to patient and family safety concerns.
Citation Text:
Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487.
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…
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psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study
October 07, 2020 - Study
Team experiences of the root cause analysis process after a sentinel event: a qualitative case study.
Citation Text:
Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(…
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psnet.ahrq.gov/issue/adverse-events-emergency-department-boarding-systematic-review
March 02, 2022 - Review
Adverse events in emergency department boarding: a systematic review.
Citation Text:
Rocha HM, Farre AGM, Santana Filho VJ. Adverse events in emergency department boarding: a systematic review. J Nurs Scholarsh. 2021;53(4):458-467. doi:10.1111/jnu.12653.
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Format…
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psnet.ahrq.gov/node/850167/psn-pdf
June 07, 2023 - Perception of feeling safe perioperatively: a concept
analysis.
June 7, 2023
Larsson F, Strömbäck U, Rysst Gustafsson S, et al. Perception of feeling safe perioperatively: a concept
analysis. Int J Qual Stud Health Well-being. 2023;18(1):2216018. doi:10.1080/17482631.2023.2216018.
https://psnet.ahrq.gov/issue/perc…
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2022/TechSpecs/PSI_19_Obstetric_Trauma_Rate-Vaginal_Delivery_Without_Instrument.pdf
July 01, 2022 - AHRQ Quality Indicators™ (AHRQ QI™) ICD-10-CM/PCS Specification v2022
Prepared by:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
qualityindicators.ahrq.gov
NUMERATOR
DENOMINATOR
*See below for code list
DENOMINATOR EXCLUSIONS
Exclude discharges:
• with any listed …
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psnet.ahrq.gov/node/42798/psn-pdf
June 17, 2014 - The concept of shared mental models in healthcare
collaboration.
June 17, 2014
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs.
2014;70(7):1479-88. doi:10.1111/jan.12307.
https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
This conce…